CMS Formulary

Displaying 160831-160840 of 1611142 results.
ID: 160831
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544388
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160832
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544390
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160833
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544394
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160834
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544396
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160835
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544398
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160836
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544402
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160837
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1659818
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160838
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1659814
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160839
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1658325
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 160840
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1658329
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30